PAGE 8 JUNE 2, 1978
Tuberculosis is Still A Thrrat^
bv
PhiliD Fisher. M.D.
by Philip Fisher, M.D.
Years ago tuberculosis was
a fearful disease since it meant
long stays, sometimes years, at
TB sanitariums, surgery, and
taking drugs which had toxic
side-effects. Today, after the
development of new drugs which
are more potent and have fewer
side-effects, sanitariums are no
longer
longer needed
needed and
and surgery
surgery is
is
rarely indicated.
Although the incidence of
tuberculosis has declined, the
disease is still present and will-
probably continue to exist for a
long time. In 1977, there were
five new cases of active disease
diagnosed in Warm Springs, and
15 new people were infected and
required treatment but did not
actually develop clinically de-
tectable disease.
,
The bacteria that causes the
disease is transmitted from man
to man, usually coughed in the
form of tiny air-borne droplets.
When the droplets are breathed
and implanted in the lungs of
another individual, that person
Noting that TB is still around and still dangerous. Dr. Fisher goes over the X-rays and medical
records of a young patient who is currently being treated for the disease. A chest clinic is^eld fou
times a year to maintain a check on those having or exposed to TB.
Itangua rnoio
has become infect VvA
The infection can be detect
ed by the tuberculin skin test
which becomes positive three to
eight weeks later. Usually the
infection is controlled by natural
body defenses at this point, and
becomes “dormant.” In one of
ten people, however, the infec
tion may spread to other parts of
the lungs and body and that
person has the tuberculosis “dis
ease”.
If the disease is localized in
the lungs, usually the person will
have a productive cough and
demonstrate other symptoms
such as sweating at night and
weight loss. A chest X-Ray will
show evidence of the disease in
the lungs. A person who has the
infection in a dormant state
carries the risk of developing
the disease at any time, even
many years later, particularly if
his natural body defenses have
been lowered.
All persons who have be
come infected, as demonstrated
by a positive skin test and a
normal chest X-Ray, should re
ceive an antituberculous drug
called INH for one year. The
dormant state will be destroyed
and the risk of developing the
disease will be forever eradi
cated.
Those people over age thirty-
five or who are not known to
have had a previous skin test
may or may not be treated
depending on other factors in
volved, and at the discretion of
the physician. In addition, those
people (usually members of the
in close contact with ¡,
a person
who has active disease) should
be treated even if their skin test
is negative.
Treatment is discontinued if
the skin test remains negative
after three months. Those people
who have active TB are treated
with two or three drugs for
eighteen to twenty-four months,
depending on the severity of the
disease. Newly diagnosed cases
are usually hospitalized for a
short stay to obtain sputum
samples, blood tests, chect X-
Rays and to determine the
extent of the disease and to start
therapy.
A chest clinic is held at the
Warm Springs Health Center
four times yearly for the pur
pose of maintaining a check on
those people having tuberculosis
infection or disease. With the
assistance of the public health
nurse, a physician from the
health center reviews chest X-
Rays and medical records to
determine the patient’s clinical
status. At times, the personal
appearance of a patient is re
requested to go over his or her
progress and to emphasize drug
therapy.
Today, a great deal of re
sponsibility for the treatment of
tuberculosis has been placed on
the patient himself. Poor drug
compliance is the major cause
of treatment failure for tubercu
losis. Despite the fact that TB is
a curable disease, it will remain
a significant cause of death and
sickness if the treatment plans
are not followed.
Public Notice
Budget Hearing On Revenue Sharing
The Tribal Council of th'e
Confederated Tribes of the
Warm Springs Reservation of
Oregon will hold a public hear
ing at 4:30 p.m. on June 16, 1978
in the Administration Building
at Warm Springs for the purpose
of hearing written and oral
comment from the public con
cerning the proposed budget for
1978 for the use of Revenue
Sharing Funds as contained in
the proposed budget, summariz
ed below.
General Revenue Sharing is
a program of General Fiscal
support from the Federal Gov
ernment to state and local gov
ernments with only limited Fed
eral requirements on how the
money should be spent. Deci
sions on the use of funds are
made at the local level by the
government and people closest
to local problems. The revenue
sharing regulations require a
hearing on the proposed use of
these funds in relation to the
overall budget before the budget
is adopted each year.
All interested citizens,
groups, senior citizens and or
ganizations representing the in
terests of senior citizens are
encouraged to attend and to
submit comments concerning
Revenue Sharing Funds avail
able.
Summary of Proposed 1978
Budget:
Revenue Sharing Funds
Available $99,558.00
1978 EXPENDITURES
total
HEALTH AND SOCIAL SERVICES
MUNICIPAL SERVICES
OTHER PROGRAMS
ADMINISTRATION
COUNCIL & COMMITTEES
MANAGEMENT
ENTERPRISE DEPARTMENTS
CAPITALIZED BUDGET
ENTERPRISE EXPENDITURES
PER CAPITA
TOTAL
TRIBAL
EXPENDITURES
FUNDS
$ 1,089,682.00
$ 635,388.00 $
1,830,700.00 1,379,615.00
OTHER OUTSIDE
REVENUE
FUNDS
SHARING
419,894.00
$34,400.00
413,185.00
37,900.00
492,730.00
22,000.00
1,999,064.00
617,962.00
1,378,002.00
399,705.00
399,705.00
525,228.00
439,430.00
71,798.00
14,000.00
888,200.00
566,153.00
311,889.00
10,158.00
976,221.00
976,221.00
180,047.00
180,047.00
514,730.00
AMOUNT
PROGRAM
ALCOHOL PROGRAM
$
11,800.00
DRUG PROGRAM
2,400.00
CRISIS & FAMILY UNIT
4,700.00
MENTAL HEALTH PROFESSIONAL
1,400.00
RESIDENTIAL GROUP HOME
4,600.00
OUTREACH PROGRAM
7,500.00
P.A.T.H. FOSTER CARE PROGRAM
2,000.00
FIRE & SAFETY
2,660.00
HEADSTART
22,180.00
DAY CARE
13,060.00
3,100.00
3,100.00
ADMINISTRATIVE SERVICE CENTER
LEGAL & PROFESSIONAL
14,000.00
UTILITIES
10,158.00
TOTAL
~
$
99,558.00
2,177,100.00 2,177,100.00
$ 10,580,677.00
$7,864,351.00
$2,616,768.00
$99,558.00
A COPY 0F THIS INFORMATION, 0THER REVENUE
SHARING INFORMATION AND RECORDS, ARE
THE NEED FOR THESE ADDITIONAL EXPENDITURES IN CALENDAR YEAR 1978 HAS BEEN BROUGHT
ABOUT BY THE UPDATING OF THE* TRIBAL*SALARY ADMINISTRATION PROGRAM WHICH RESULTED
IN MANY SALARY INCREASES ABOVE THOSE PROGRAMED IN THE ANNUAL BUDGET.
ARE SPECIFIC PROGRAMS TO RECEIVE REVENUE SHARING FUNDS.
LISTED
AVAILABLE FOR PUBLIC INSPECTION FROM 8:00 A.M
TO 5:00 P.M. WEEKDAYS AT THE ÏRIBAL OFFICE